成人型卵巢粒层细胞瘤的临床及超声特点  

Clinical and sonographic characteristics of adult ovarian granulosa cell tumor

作　　者：严霞瑜[1] 杨太珠[1] 罗红[1] 杨帆[1] 张波[1] 

机构地区：[1]四川大学华西第二医院超声科,四川成都610041

出　　处：《海南医学》2013年第10期1471-1473,共3页Hainan Medical Journal

基　　金：四川省科技厅应用基础研究基金项目(编号:2010JY0016)

摘　　要：目的探讨成人型卵巢粒层细胞瘤的临床特点及超声图像特点。方法回顾性分析17例18个经病理证实的成人型卵巢粒层细胞瘤肿物的临床资料和超声声像图表现,并复习相关文献。结果成人型卵巢粒层细胞瘤好发于中年或绝经后妇女,临床主要表现为腹痛腹胀、阴道流血、月经紊乱;二维超声可分为单房囊性、多房囊性、囊实性和实性;肿瘤内均探及血流信号,血流信号为Ⅰ级或Ⅱ级(Alder血流分级);肿瘤大小与肿瘤内囊性成分比例呈正相关性。结论成人型卵巢粒层细胞瘤具有一定的临床及超声特点,肿瘤大小与肿瘤囊实性有一定的相关性。Objective To investigate the clinical presentations and sonographie characteristics of adult ovari- an granulosa cell tumor （AOGCT）. Methods The clinical and sonographic features of 18 masses with AOGCT were re- viewed. Results AOGCT tumors most commonly occurred in the middle-aged or postmenopausal women, the most com- mon symptoms of which were abnormal pain, uterine bleeding and menstrual disorders. Gray-scale sonography in AOCK3Ts presented as unilocular cystic, multilocular cystic, cystic-solid and solid. Color Doppler flow imaging were showed in all the AOGCT masses with color Doppler sonography, which showed in class I and class lI based on Alder Class. The relation- ship between the size of the tumors and the proportion of cystic was positively correlated. Conclusion Adult ovarian granu- losa cell tumor has certain characteristics in clinical presentation and ultrasonography. The relationship between the size and the feature of cystic-solid is found in AOGCTs.

关 键 词：卵巢肿瘤 卵巢粒层细胞瘤 超声 

分 类 号：R737.31[医药卫生—肿瘤]